Doctor Name: | MRS. SUSAN J LITTLE |
NPI Number: | 1285815365 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPN |
License Number: | 360201-1 |
Business Practice Address: | 24 Hunters Run Ballston Lake, NY - 120191050 |
Business Phone Number: | 5188994232 |
Business Fax Number: | |
Mailing Address: | 24 Hunters Run, BALLSTON LAKE |
State: | NY |
Postal Code: | 120191050 |
Phone Number: | 5188994232 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2007 |
NPI Last Update Date: | 11/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 360201-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |